Organization
IHC HEALTH SERVICES INC
Active
Other names
Retinal Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHYSICIAN EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
2829 UNIVERSITY DR S, FARGO, ND 58103-6050
(801) 233-4407
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 233-4407
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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